Conley, John David
Conley, John David is an individual health care provider with primary practice located at 1327 N 16Th Ave , Durant OK 74701-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conley, John David can be contacted via phone (580) 745-1011.Contact Information
Primary practice address
1327 N 16Th Ave
Durant OK 74701-2134
Phone: (580) 745-1011
Fax: (580) 745-5332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4448 | Oklahoma |
Profile Details
| NPI number | 1659438034 |
|---|---|
| LBN Legal business name | Conley, John David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Sep 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659438034 | NPPES |
| Oklahoma | MEDICAID | 200113430A |
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